Dental
Gong, Boksoon
Gong, Boksoon was paid $246K by Medicaid between Jan 2018 and Nov 2018, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 35% of everything it billed.
33Billing provider infoGONG, BOKSOON
ANGIER, NC 27501
ANGIER, NC 27501
33aNPI1124439559assigned 05/20/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$246K
24GClaims5,667
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#303 of 756
Median peer was paid$121K
This provider vs. median2.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,667 | $246K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 35% | 868 | 400 | $86K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 19% | 643 | 301 | $47K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.7% | 156 | 108 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 668 | 665 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 563 | 560 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 794 | 790 | $12K |
| D1110 | Prophylaxis - adult | 4.5% | 320 | 317 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 235 | 231 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 108 | 45 | $6K |
| D0274 | Bitewings - four radiographic images | 2.2% | 187 | 185 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 370 | 359 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 134 | 126 | $4K |
4 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.